Individual
LANA LOUISE SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
711 S 14TH AVE, SAFFORD, AZ 85546-3337
(928) 424-2110
Mailing address
711 S 14TH AVE, SAFFORD, AZ 85546-3337
(928) 424-2110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
259120
AR
363LF0000X
Family Nurse Practitioner
Primary
259120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11846506
—
AZ
Enumeration date
06/25/2006
Last updated
01/07/2022
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